Background
Methods
Results
Camp characteristics
Africa (n = 117)b | Asia (n = 36) | p-valuec | |
---|---|---|---|
Camp Population
d
| |||
Total population (%) |
0.007
| ||
< 10,000 | 26.5 | 25.0 | |
10,000-< 20,000 | 37.6 | 63.9 | |
≥20,000 | 35.9 | 11.1 | |
Under five (U5) population [mean (95% CI)] | 3812 (3180-4445) | 1761 (1405-2117) |
< 0.001
|
Incidence Rates (U5 cases/1000 population/month)
d
| |||
Malaria | 84.7 (67.5-102.0) | 2.2 (1.4-3.0) |
< 0.001
|
Pneumonia | 59.2 (49.8-68.7) | 254.5 (207.1-301.8) |
< 0.001
|
Diarrhea | 35.5 (28.7-42.4) | 69.2 (61.0-77.5) |
< 0.001
|
Health Facility Utilization
d
| |||
New visits/person/month | 0.15 (0.13-0.16) | 0.29 (0.27-0.32) |
< 0.001
|
Growth monitoring utilization (%) | 37.3 (31.4-43.1) | 64.8 (55.2-74.3) |
< 0.001
|
Malaria Prevention during Pregnancy
d
| |||
Insecticide treated net coverage (ITN) (%) | 50.4 (43.4-57.5) | 10.2 (1.4-18.9) |
< 0.001
|
Intermittent preventative treatment (IPTp) (%) | 68.7 (62.5-74.9) | 0.78 (0.03-1.5) |
< 0.001
|
Water & Sanitation (%)
e
| |||
Average quantity of potable water/person/day | |||
≤20 L | 62.4 | 8.3 |
< 0.001
|
> 20 L (standard) | 37.6 | 91.7 | |
# of persons per usable water tap | |||
≥80 | 82.5 | 50.0 |
< 0.001
|
< 80 (standard) | 17.5 | 50.0 | |
Living within 200 m from water point (%) | |||
< 100% | 64.3 | 2.8 |
< 0.001
|
100% (standard) | 35.7 | 97.2 | |
# of persons per communal latrine | |||
> 20 | 51.6 | 52.8 | 0.900 |
≤20 (standard) | 48.4 | 47.2 | |
Families with latrines (%) | |||
< 100% | 88.4 | 29.4 |
< 0.001
|
100% (standard) | 11.6 | 70.6 | |
Families receiving > 250 g soap/person/mo (%) | |||
< 90% | 36.2 | 41.2 | 0.636 |
≥90% (standard) | 63.8 | 58.8 | |
Nutrition (%)
e
| |||
Global acute malnutrition prevalence (%) | |||
≥10% | 48.6 | 25.0 |
0.014
|
< 10% (standard) | 51.4 | 75.0 | |
Average kCals/person/dayf | |||
< 2100 | 34.0 | 22.2 |
0.189
|
≥2100 (standard) | 66.0 | 77.8 |
Causes of Child Morbidity and Mortality
Risk factors for child morbidity
Malariab | ||
---|---|---|
Unadjusted
|
Adjusted
c
| |
Camp Location & Size
| ||
Small (< 10,000) | Reference | Reference |
Medium (10,000-19,999) | 0.85 (0.56-1.28) | 1.94 (0.69-5.46) |
Large (≥20,000) | 0.89 (0.55-1.45) | 2.01 (0.57-7.13) |
Africad | Reference | Reference |
Asia |
0.06 (0.04-0.10)
|
0.01 (0.001-0.13)
|
Water and Sanitation (reference category is below the specified standard)
e
| ||
Water Quantity |
1.33 (1.05-1.67)
| 1.11 (0.60-2.08) |
Water Access | 1.39 (0.82-2.35) | 1.66 (0.76-3.65) |
Water Proximity | 2.34 (0.66-8.21) | 0.99 (0.63-1.56) |
Latrine Access | 1.21 (0.67-2.19) | 1.07 (0.74-1.53) |
Latrine Coverage | 1.20 (0.84-1.73) | 0.87 (0.33-2.26) |
Soap Access | 0.87 (0.63-1.22) | N/Af |
Nutrition Standards (reference category is below the specified standard)
e
| ||
Global Acute Malnutrition |
1.29 (1.04-1.61)
| 1.73 (0.72-4.17) |
Ration Adequacy | 1.01 (0.80-1.28) | 0.62 (0.25-1.56) |
Health Service Utilization
| ||
New Visits (per 10 persons/month) |
1.92 (1.23-3.01)
|
2.57 (1.48-4.48)
|
Growth Monitoring (%)g |
0.98 (0.97-0.99)
| 0.99 (0.98-1.01) |
Prevention of Malaria in Pregnancy
| ||
Insecticide Treated Nets (ITNs) | 0.60 (0.17-2.06) | 0.74 (0.44-1.24) |
Intermittent Preventive Treatment (IPTp) | 0.94 (0.51-1.74) | 1.12 (0.25-4.99) |
Pneumonia | Diarrhea | |||
---|---|---|---|---|
Unadjusted
|
Adjusted
b
|
Unadjusted
|
Adjusted
b
| |
Camp Location & Size
| ||||
Small (< 10,000) | Reference | Reference | Reference | Reference |
Medium (10,000-19,999) | 1.11 (0.89-1.39) | 1.43 (0.90-2.26) | 1.09 (0.85-1.39) |
1.80 (1.07-3.03)
|
Large (≥20,000) | 1.35 (0.88-2.08) |
2.07 (1.03-4.15)
| 1.48 (0.98-2.25) |
2.16 (1.04-4.49)
|
Africac | Reference | Reference | Reference | Reference |
Asia |
4.52 (3.18-6.41)
| 1.65 (0.79-3.43) |
1.93 (1.52-2.45)
| 0.77 (0.35-1.71) |
Water and Sanitation (reference category is below the specified standard)
d
| ||||
Water Quantity | 1.04 (0.70-1.53) | 1.06 (0.66-1.70) | 1.01 (0.53-1.94) | 0.95 (0.66-1.37) |
Water Access | 1.32 (0.94-1.86) | 1.04 (0.77-1.40) | 1.33 (0.94-1.89) | 1.27 (0.85-1.89) |
Water Proximity |
1.32 (1.12-1.54)
|
1.38 (1.06-1.81)
| 0.84 (0.55-1.28) | 1.03 (0.74-1.44) |
Latrine Access | 0.92 (0.82-1.03) | 0.91 (0.79-1.06) | 0.91 (0.74-1.13) | 1.04 (0.83-1.31) |
Latrine Coverage | 0.77 (0.49-1.22) | 0.77 (0.49-1.21) | 0.81 (0.61-1.08) | 0.97 (0.65-1.46) |
Soap Access | 0.85 (0.62-1.16) | N/Ae | 0.89 (0.72-1.10) | N/Ae |
Nutrition Standards (reference category is below the specified standard)
d
| ||||
Global Acute Malnutrition |
0.86 (0.75-0.98)
| 1.01 (0.74-1.37) | 0.94 (0.78-1.14) | 1.00 (0.68-1.46) |
Ration Adequacy | 1.06 (0.85-1.31) | 1.18 (0.86-1.63) |
1.18 (1.01-1.37)
| 1.09 (0.79-1.51) |
Health Service Utilization
| ||||
New Visits (per 10 persons/month) |
1.71 (1.42-2.05)
|
1.73 (1.26-2.37)
| 1.31 (0.99-1.74) |
1.90 (1.38-2.62)
|
Growth Monitoring (%)f | 1.00 (0.99-1.00) | 1.01 (1.00-1.02) | 1.01 (1.00-1.01) | 1.01 (1.00-1.01) |